Good Samaritan Society - Pipestone
1311 North Hiawatha, Pipestone, MN 56164 · Pipestone County · (507) 825-5428
82 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245591 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 5, 2026, inspectors cited 5 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 16 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $17,345 in the last three years; the largest was $17,345, and the latest is dated January 7, 2026.
Nurses and nurse aides worked 3.70 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
51.7% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Good Samaritan Society, an affiliated group of 92 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
403/24
605/25
101/26
508/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
0E
2F
Potential for minimal harm
0A
0B
0C
August 5, 2026Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure infection control measures were followed during observation of 1 of 1 meal service. This had the potential to affect all 52 residents who dined in the facility.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on document review and interview, the facility failed to obtain informed consents including risk and benefit for 1 of 5 residents (R4) reviewed for psychotropic medications.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and document review, the facility failed to provide the CMS-10055 Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) to 1 of 3 sampled residents (R1) when their Medicare Part A skilled services with days remaining.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and document review, the facility failed to monitor controlled narcotic medications in 1 of 1 emergency kit (E-kit) to prevent potential diversion.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and document review, the facility failed to provide evidence of 1 of 1 required Performance Improvement Project (PIP), which focused on high-risk or problem-prone areas with identified interventions and analysis to track performance to ensure improvement after implementing actions.
January 7, 2026Complaint inspection · 1 citation
- J Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on interview and document review, the facility failed to follow physician orders for a texture modified diet for 1 of 3 residents (R1) reviewed for diet orders. This resulted in an immediate jeopardy (IJ) for R1 when he was served a regular texture diet and choked while eating, which resulted in R1 requiring emergency department (ED) services and admission to a higher level of care hospital. The facility implemented corrective action prior to the investigation so the deficiency was issued at Past Noncompliance. The IJ began on 12/29/25 at 5:00. p.m. when the dietary cook and nursing assistant (NA)-B served R1 with a regular texture tuna fish melt on a bun and sweet potato tots. [...]
May 21, 2025Standard inspection · 6 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and document review, the facility failed to ensure employee illnesses were tracked to identify when employee would be able to return to work after an illness, dependent upon their symptoms for 3 of 5 sampled staff (trained medication aide (TMA)-A, nursing assistant (NA)-A, and dietary aide (DA)-B). In addition, the facility failed to ensure 1 of 5 sampled staff (dietary aide) had completed tuberculosis testing (TST) upon hire. This had the potential to affect all 62 residents in the facility.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and document review, the facility failed revise the care plan when new physician orders were received for 1 of 3 sampled residents (R55) receiving oxygen therapy upon return from the hospital.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the correct physician order was followed and appropriately monitored for 1 of 3 sampled residents (R55) recieving oxygen therapy.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and document review, the facility failed accurately reconcile physician orders upon return from the hospital and update the electronic medical record for 1 of 3 sampled residents (R55) receiving oxygen therapy.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and document review the facility failed to complete a comprehensive assessment for continued use of antibiotics for 1 of 3 sampled residents (R16) reviewed for antibiotic stewardship.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to ensure 1 of 5 sampled residents (R7) was offered and/or provided updated vaccinations for pneumococcal disease, in accordance with Centers for Disease Control (CDC).
March 20, 2024Standard inspection · 4 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review the facility failed to devlop and implement a comprehensive person-centered care plan that addressed resident smoking with safety precautions for 1 of 1 (R29) resident reveiwed for care plan.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and document review, the facility failed to notify primary care provider of a change in condition and obtain treatment orders for 1 of 1 resident (R15) who developed a new pressure injury.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review, the facility failed to properly assess disposing of cigarettes for 1 of 1 resident (R29) reviewed for accidents.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident was reassessed for continued as needed (PRN) antipsychotic medication (xanax and buspirone (buspar)) had been re-evaluated every 14 days to ensure the appropriateness of continued use for 1 of 2 residents (R55) reviewed for unnecessary medications.
Fire safety inspections
8 fire safety citations on file: 2 on August 5, 2026, 5 on May 21, 2025, 1 on March 20, 2024.
Every fire safety citation8 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have properly installed hallway dispensers for alcohol-based hand rub.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 7, 2026 | Fine | $17,345 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.70 | 4.19 | 3.86 |
| Registered nurses | 0.69 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.71 | 3.42 |
| Nurse aides | 2.43 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 51.7% | 42.2% | 45.8% |
| Registered nurse turnover | 50.0% | 38.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.91 on weekdays and 3.20 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.70 | 0.69 | 3.91 | 3.20 | 4.9% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.68 | 0.70 | 3.88 | 3.17 | 3.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.58 | 0.82 | 3.81 | 3.01 | 0.2% | 0 of 92 | 58 |
| Apr to Jun 2025 | 3.72 | 0.84 | 3.95 | 3.15 | 0.8% | 0 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 27.5 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.3 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.2 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.4 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.0 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.5 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 38.2 | 14.8 | 12.0 |
Owners and operators
Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sanford | 5% or greater direct ownership interest | Organization | 100% | 01/01/2019 |
| The Evangelical Lutheran Good Samaritan Society | 5% or greater indirect ownership interest | Organization | 100% | 01/01/2019 |
| Brown, George | Corporate director | Individual | 01/01/2025 | |
| Dykhouse, Dana | Corporate director | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Corporate director | Individual | 05/30/2024 | |
| Gassen, William | Corporate director | Individual | 05/30/2024 | |
| Gulsvig, Neil | Corporate director | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Corporate director | Individual | 05/30/2024 | |
| Lundeen, Mark | Corporate director | Individual | 05/30/2024 | |
| McCausland, Maureen | Corporate director | Individual | 01/01/2025 | |
| Molbert, Lauris | Corporate director | Individual | 05/30/2024 | |
| North, Andrew | Corporate director | Individual | 05/30/2024 | |
| Schieffer, Kevin | Corporate director | Individual | 01/01/2025 | |
| Shulkin, David | Corporate director | Individual | 05/30/2024 | |
| Teiken, Brent | Corporate director | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Corporate director | Individual | 05/30/2024 | |
| Wenzel, Thomas | Corporate director | Individual | 01/01/2025 | |
| Fluit, Joel | Corporate officer | Individual | 10/01/2022 | |
| Gassen, William | Corporate officer | Individual | 05/30/2024 | |
| Middleton, Aimee | Corporate officer | Individual | 01/27/2022 | |
| Olson, Nicholas | Corporate officer | Individual | 04/08/2024 | |
| Schema, Nathan | Corporate officer | Individual | 01/01/2022 | |
| Sanford | Operational/managerial control | Organization | 01/01/2019 | |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | Organization | 01/01/2019 | |
| Kennedy, Diane | Operational/managerial control | Individual | 06/24/2024 | |
| Mertens, Stacy | Operational/managerial control | Individual | 03/01/2010 | |
| Morrison, Tony | Operational/managerial control | Individual | 01/01/2019 | |
| Sandgren, Deeandra | Operational/managerial control | Individual | 07/16/2023 | |
| Fluit, Joel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/18/2025 | |
| Dtn Staffing Inc | Adp of the SNF | Organization | 08/02/2024 | |
| Focusone Solutions | Adp of the SNF | Organization | 03/04/2024 | |
| Grape Tree Medical Staffing LLC | Adp of the SNF | Organization | 04/13/2018 | |
| Sanford | Adp of the SNF | Organization | 11/13/2025 | |
| The Evangelical Lutheran Good Samaritan Society | Adp of the SNF | Organization | 01/01/2019 | |
| Brown, George | Adp of the SNF | Individual | 01/01/2025 | |
| Dykhouse, Dana | Adp of the SNF | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Adp of the SNF | Individual | 05/30/2024 | |
| Fluit, Joel | Adp of the SNF | Individual | 10/01/2022 | |
| Gassen, William | Adp of the SNF | Individual | 05/30/2024 | |
| Gulsvig, Neil | Adp of the SNF | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Adp of the SNF | Individual | 05/30/2024 | |
| Kennedy, Diane | Adp of the SNF | Individual | 06/24/2024 | |
| Lundeen, Mark | Adp of the SNF | Individual | 05/30/2024 | |
| McCausland, Maureen | Adp of the SNF | Individual | 01/01/2025 | |
| Mertens, Stacy | Adp of the SNF | Individual | 03/01/2010 | |
| Middleton, Aimee | Adp of the SNF | Individual | 01/27/2022 | |
| Molbert, Lauris | Adp of the SNF | Individual | 05/30/2024 | |
| Morrison, Tony | Adp of the SNF | Individual | 01/01/2019 | |
| North, Andrew | Adp of the SNF | Individual | 05/30/2024 | |
| Olson, Nicholas | Adp of the SNF | Individual | 04/08/2024 | |
| Sandgren, Deeandra | Adp of the SNF | Individual | 07/16/2023 | |
| Schema, Nathan | Adp of the SNF | Individual | 01/01/2022 | |
| Schieffer, Kevin | Adp of the SNF | Individual | 01/01/2025 | |
| Shulkin, David | Adp of the SNF | Individual | 05/30/2024 | |
| Teiken, Brent | Adp of the SNF | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Adp of the SNF | Individual | 05/30/2024 | |
| Wenzel, Thomas | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on May 21, 2025: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 21, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 21, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 5, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Edgebrook Care Center Edgerton, 13.4 mi · 1 of 5 stars · 15 citations
- Riverview Healthcare Center Flandreau, 13.5 mi · 1 of 5 stars · 36 citations
- Flandreau Santee Sioux Tribe Care Center Flandreau, 14.2 mi · 3 of 5 stars · 10 citations
- Avera Sunrise Manor Tyler, 19.6 mi · 4 of 5 stars · 7 citations
- Palisade Healthcare Center Garretson, 22.9 mi · 1 of 5 stars · 29 citations
- Dells Nursing and Rehab Center Inc Dell Rapids, 23.5 mi · 4 of 5 stars · 16 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Good Samaritan Society - Pipestone's Medicare star rating?
- CMS rates Good Samaritan Society - Pipestone 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Good Samaritan Society - Pipestone get at its last inspection?
- 5 health deficiencies at the standard inspection on August 5, 2026. The Minnesota average is 7.1.
- Has Good Samaritan Society - Pipestone been fined?
- Yes. CMS lists 1 fine totaling $17,345 in the last three years.
- Does Good Samaritan Society - Pipestone accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Good Samaritan Society - Pipestone?
- CMS lists 57 owners and managers, and links the home to Good Samaritan Society. Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.